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File with the Property Valuation Protest FORM. <br /> County Clerk and Report of County Board of Equalization Action 422 <br /> (See Instructions) I County Name HALL - ., i r • `+� ^^ <br /> Name and Mailing Address of Person Filing Protest Protest Number Filed <br /> Na ,20_ <br /> frtwim i A zQ)I7 !.`C <br /> �� Y'da'Y'C r� /��, Protested Valuation 20 1 S .--itequasl®dVaivatloe+" -"'"1 <br /> Street or Other Milling Address ' Land Land <br /> zz« 2o'hito-e_ $ 63513oV-- $ 463 42-‘ <br /> City,Town,or Post Office State Zip Code Buildings Buildings <br /> 6:2 Al S $ ( 3 f $ 13.37 <br /> Property[den cation mbar Phone Number Total Land and Buildings Total Land and Buildings <br /> 46/0 gra 43/ 348-674-2127 $ 4,3,C 6 43 $ Ar/K 115 <br /> Real Property Description(Motu Lot,Block,Addition,Location Address,Se n, Personal Properly Personal Properly <br /> Township,Range,and County)and/or Personal Properly Description`' $ v $ ,�' <br /> (9z- r,�j® /'j5 t tr i (134_ c 1. Reasons for requested valuation change(Attach additional paages if needed.) <br /> 7- //-IC /749,17 (1?T C7rIt 01 <br /> CP R `..ah2U.o�! I (t ( <br /> sin a X. /./.ice f��a..�, _ Al <br /> 06 7-70 -IS <br /> here S rature of Perso ' k /Prole ' Date <br /> County Assessor's Recommendation Referee's Recommendation(If applicable) <br /> Correct acres as necessary <br /> I Decision of County Board of Equalization for AssessmentYear 20........ I <br /> Basis iorAction Taken(County Board of Equalization Chairperson) Land <br /> $ 631,625 <br /> Buildings <br /> ACCEPTED RECOMMENDATION $ 1,339 <br /> Total Land and Buildings <br /> $ 632,964 <br /> Personal Property <br /> $ <br /> Check One <br /> 'VI t The county assessor has certified to the county board of equalization that a copy ❑Attached is a copy of that portion of the property record file which substantiates <br /> T of that portion of the property record file which substantiates the calculation of the the calculation of the protested value.if dissatisfied with the board's decision,this <br /> protested value is maintained in the county assessors office in electronic or paper report and the property record file may be used to complete an appeal to the Tax <br /> form.If dissatisfied with the board's decision,this report and the property record file Equalization end Review Commission. <br /> may be used to complete an appeal to the Tax Equalization and R= - Commission. Q^ // <br /> /� - -!--riff- - - Date <br /> I County Clerk Certification I <br /> Date the Protest was Heat Date of the Decision Date Notice of Decision was Mailed to Protestor <br /> JULY 14, 2015 AUGUST 11, 2015 AUGUST 17. 2015 <br /> The undersigned certifies that a copy of this protest and report of the action of the county board of equalization,which has been accepted by the assessor,has <br /> been mailed to the protestor at the above-s wn address on AUGUST 17, 2015 ,20 . <br /> S�/� AUGUST 11, 2015 <br /> 0.Sig ure o •Cie �/ t j jj , Date <br /> Nebraska Department at Revenue v <br /> 96499-2000 Rev,4-2014 Supersedes 95-199-2000 Rev.5-2011 Authorized by Neb.Rev.Scat.$77-1502 <br />